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Mark Gilstrap, DMD
Pediatric Dentist in Jenks, Oklahoma
NPI 1710411715

Mark Gilstrap is a Pediatric Dentist based in Centennial, OK and is specialized in Pediatric Dentistry. Mark Gilstrap practices in Jenks, OK and has the professional credentials of DMD. The NPI Number for Mark Gilstrap is 1710411715 and holds a License No. DEN.00203438 (Oklahoma).

The current practice location address for Mark Gilstrap is 404 S Elm St Ste 108, Jenks, OK and can be reached out via phone at 918-417-2417.

Location: 404 S Elm St Ste 108, Jenks, OK, 80112-3173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710411715
Provider Name
Mark Gilstrap
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
404 S Elm St Ste 108, Jenks, OK, 80112-3173
Phone Number
918-417-2417
Fax Number
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
404 S Elm St Ste 108
City
Jenks
State
Oklahoma
Zip
74037-3714
Phone Number
918-417-2417
Fax Number
person
Provider Business Mailing Address Details
Address
404 S Elm St Ste 108
City
Jenks
State
Oklahoma
Zip
74037-3714
Phone Number
918-417-2417
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2020006360 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DEN.00203438 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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